HomePsychotherapyWhy So Many Are Missed or Misdiagnosed

Why So Many Are Missed or Misdiagnosed


by Dr Maria Daves 

For a very long time, autism has been broadly misunderstood—particularly relating to the way it presents in girls and ladies. It was as soon as assumed that autism was primarily a male situation, with analysis and diagnostic instruments closely targeted on boys and males. Because of this, many autistic girls and ladies have spent years—usually many years—with out the analysis, assist, or understanding they want.

However that is altering.

Extra girls and ladies than ever are actually discovering they’re autistic, usually later in life. This rising consciousness is starting to problem outdated stereotypes and reveal simply how inaccurate the previous assumptions had been. Autism isn’t just a male expertise. It impacts individuals of all genders—together with girls and ladies, and non-binary people—in complicated and numerous methods.

Why Are Autistic Girls and Ladies Usually Missed?

One key purpose autistic women and girls go undiagnosed is masking.

Many autistic females study to camouflage their difficulties by copying others, mimicking social behaviour, or “performing” in ways in which make them appear neurotypical. This masking will be so efficient that academics, members of the family, and even clinicians miss the indicators completely.

In school, an autistic woman would possibly seem like a part of a friendship group, obtain good tutorial outcomes, and appear to be she’s coping properly. However beneath, she could also be struggling to handle intense nervousness, sensory overload, or emotions of not becoming in. Her success in a single space can fully masks her difficulties in others.

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One other situation lies within the instruments and standards used for analysis. Many had been developed with boys and males in thoughts, in order that they fail to seize the traits extra frequent in girls and ladies. These instruments might overlook the subtler, internalised indicators of autism—comparable to intense pursuits that align with socially acceptable subjects (like books, celebrities, or animals) or extra passive behaviours that don’t draw consideration.

What Does Autism Look Like in Girls and Ladies?

Whereas each autistic individual is exclusive, there are some frequent traits and patterns usually seen in autistic girls and ladies:

  • Masking or camouflaging their traits in social settings, which may result in excessive exhaustion or burnout later.
  • Internalised challenges, comparable to nervousness, low temper, and perfectionism.
  • Extremely targeted pursuits, which can be socially acceptable and due to this fact missed.
  • Problem figuring out and expressing wants—particularly when these have been suppressed over a few years.
  • Meltdowns or shutdowns, which can solely occur in protected environments like dwelling.
  • Struggles with id, usually from years of attempting to slot in and meet others’ expectations.

Crucially, many autistic girls and ladies are misdiagnosed with psychological well being circumstances comparable to nervousness, melancholy, consuming problems, or borderline persona dysfunction—with out their underlying autism being recognised.

The Value of Masking

Masking would possibly assist autistic people “cross” in social conditions, however it usually comes at an enormous private price.

Suppressing pure instincts and coping methods—like stimming, utilizing direct language, or searching for alone time—can result in:

  • Emotional burnout
  • Psychological well being points, together with melancholy and suicidal ideas
  • Bodily exhaustion
  • A way of isolation or disconnection
  • Elevated vulnerability to abuse
  • Lack of id or low vanity

Many autistic girls and ladies have spent their lives being instructed they’re “too delicate,” “lazy,” “odd,” or “not attempting laborious sufficient.” Over time, they could start to imagine these labels—with out realising that their variations stem from neurodivergence, not private failings.

Discovering Help and Reclaiming Identification

One of the highly effective steps for a lot of autistic girls and ladies is discovering neighborhood. Connecting with different autistic individuals—whether or not on-line or in individual—can supply validation, understanding, and a way of belonging. Help teams and neurodiversity-positive organisations may also assist people rediscover their id, strengths, and preferences.

Remedy will be one other vital a part of the journey. At Harley Remedy, our practitioners work with autistic girls and ladies to assist them:

  • Unmask safely, at their very own tempo
  • Reconnect with who they honestly are
  • Navigate burnout and nervousness
  • Construct self-awareness and self-advocacy
  • Embrace their neurodivergence as a legitimate and beneficial id

Shifting Ahead: What Must Change?

To raised assist autistic girls and ladies, we’d like widespread change—throughout training, healthcare, workplaces, and households. That change begins with three key pillars:

  1. Consciousness – recognising the numerous and sometimes refined shows of autism in women and girls.
  2. Inclusivity – creating environments the place neurodivergent people are welcomed and supported, not anticipated to masks.
  3. Understanding – difficult assumptions and listening to autistic voices.

As understanding grows, we hope to create a world the place autistic individuals don’t have to cover who they’re—and the place women and girls are identified not many years too late, however after they first want assist.


If you happen to or somebody you care about is likely to be autistic and is on the lookout for assist, go to Harley Remedy to seek out an skilled therapist. Dr. Maria Daves, Guide Counselling Psychologist and ADHD Coach, presents specialist autism and ADHD assessments and assist each on-line and in our London clinics.

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